Sunrise of San Mateo

Type of visit: Required - 1 Year

LPA Audrey Jeung toured facility, which consists of 4 floors; assisted living residents reside on the first, second and third floors. Memory care residents reside on the fourth floor in 17 rooms, which is a secured unit with egress alert access and a designated dining room. All units have wet bars with small refrigerators.. Emergency signal system is tested and consists of pull cords in bathrooms and living areas, which sends an audible alert to staff on their cell phones. Operable carbon monoxide detectors are installed throughout hallways and in some apartments. There are no accessible bodies of water or fire safety hazards observed. Emergency drills are conducted monthly and documented. Medications are stored in locked medication carts on each floor. A comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material and hygiene supplies are maintained. Hot water temperature tested at 120 degrees in room #204. Fresh and non-perishable food supplies are maintained. Quarterly food and dietary audits are conducted and documented; copy of last audit by registered dietician dated 1/22/26 is provided. First-aid kit is inspected. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Transcripts of staff training are provided today for review. Random client files are reviewed and some medication records. Executive director Abbie Apolinario is a certified RCFE administrator (x10/26) that oversees facility operations. The following information is requested to be submitted to CCL by 3/17/26: • Proof of current liability insurance Deficiency of the California Code of Regulations, Title 22 is cited on following page.the state’s words, verbatim · CDSS document, Mar 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(1)(B) · Plan of correction due date: Mar 10, 2026

INCIDENTAL MEDICAL CARE Medications shall be centrally stored under the following circumstances...Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement is not met, as Advil and acetaminophen are stored in room #204, and client is unable to self store/admin meds, per MD. Licensee failed to ensure that meds are centrally stored for client who cannot store/ admin meds, which poses an immediate health or safety risk to clients in care.the state’s words, verbatim · CDSS document, Mar 10, 2026

Plan of correction: Advil and acetaminophen were removed from room 204 in LPA's presence. Deficiency corrected and cleared

Type of visit: Case Management - Other

LPA Jeung met with administrator and business office coordinator to follow up on information obtained during annual inspection of 4/3/25. Staff training was discussed and reviewed, and clarification of proof of correction regarding nonperishable food supply is obtained, including emergency boxed meal kits. LPA observed and confirmed that the main entry door is equipped with a keypad and delayed egress alert. An updated fire clearance is required. Three other exits on the ground floor also have keypads and emit an auditory alarm when opened, but are not equipped with a delayed egress. Confirmation of correction for citation regarding nonperishable food supply is provided. No deficiency cited today.the state’s words, verbatim · CDSS document, Jun 24, 2025

Type of visit: Required - 1 Year

LPA Audrey Jeung toured facility, which consists of 4 floors; assisted living residents reside on the first, second and third floors. Memory care residents reside on the fourth floor in 17 rooms, which is a secured unit with egress alert access and a designated dining room. All units have wet bars with small refrigerators.. Emergency signal system is tested and consists of pull cords in bathrooms and most bedrooms, which sends an audible alert to staff on their cell phones. Operable carbon monoxide detectors are installed throughout hallways and in some apartments. There are no accessible bodies of water or fire safety hazards observed. Medications are stored in locked medication carts on each floor. A comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material and hygiene supplies are maintained. Hot water temperature tested at 119 degrees in rooms on 3rd and 4th floors. Fresh and non-perishable food supplies are maintained. Quarterly food and dietary audits are conducted and documented; copy of last audit by registered dietician dated 2/12/25 is provided. First-aid kit is inspected. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Transcripts of staff training are provided today for review. Client files are reviewed. Medications records may be reviewed at a later date. Executive director Abbie Apolinario is a certified RCFE administrator (x10/26) that oversees facility operations. The following information is requested to be submitted to CCL by 4/17/25: • LIC 500 Personnel REport • Facility sketch • Proof of current liability insurance Deficiencies of the California Code of Regulations, Title 22 are cited on following pages.the state’s words, verbatim · CDSS document, Apr 3, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(c) · Plan of correction due date: Apr 3, 2025

CRIMINAL RECORD CLEARANCE A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another...by providing (specific information) to the Department. This requirement is not met, as staff #2 has worked at facility for almost 2 years, but does not have criminal record associated to facility. Licensee failed to ensure that criminal record clearances for all staff are associated to facility, which posed an immediate health, safety or personal rights risk to clients in care. Civil penalty of $100 issued.the state’s words, verbatim · CDSS document, Apr 3, 2025

Plan of correction: Criminal record clearance for staff #2 was associated to facility in LPA's presence. Deficiency corrected and cleared

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(26) · Plan of correction due date: Apr 17, 2025

GENERAL FOOD SERVICE Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met, as there is not enough non-perishable food supply maintained for 70 residents. Licensee failed to ensure that non-perishable food supply is sufficient to feed all residents for 7 days in the event of an emergency. Seventeen boxes of Easy Meal freeze dried food is maintained, which does not apprear to be enough for all residents. This poses a potential health, safety or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Apr 3, 2025

Plan of correction: Proof of correction to be submitted to CCLD BY DUE DATE.

Type of visit: Case Management - Other

On June 24, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 3:22 PM to conduct a Case Management visit regarding a resident, R1 who fell. LPA Calandra was greeted by Trish Redito, Business Office Coordinator and explained the purpose of the visit. Joanne Gutierrez, Assisted Living Coordinator joined later during the visit. LPA Calandra spoke to Trish Redito and Joanne Gutierrez regarding the incident to gather additional information about the situation. LPA Calandra also interviewed S1 who responded to R1's pendant request for help. LPA Calandra received the following document(s): -Call button response time for R1 No deficiencies were cited during today's visit. This report was reviewed with Trish Redito, Business Office Coordinator and a copy of the report left at the facility.the state’s words, verbatim · CDSS document, Jun 24, 2024

Type of visit: Required - 1 Year

On March 11, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Abbie Apolinario and explained the purpose of the visit. LPA toured the facility inside and outside including but not limited to; resident rooms, communal bathroom, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a four floor facility; assisted living (AL) residents on the first, second and third floor, and memory care (MC) on the fourth floor. LPA toured main dining room, communal area on the first floor and observed it to be clean and free from tripping hazards. LPA observed 2 days perishables and 7 days non-perishables in the kitchen on the first floor. Chemicals, medications, toxins and sharps were locked and inaccessible to residents. Nurse's station was located on the 2nd floor. Locked medication carts were observed on each floor. Communal bathrooms were observed to be odor-free, clean and in good repair. Hot water temperature throughout the facility was measured between 112-115 degrees F. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of February 2024. Emergency drills are logged and done every three months. Extra linen and first aid kit was observed present. Temperature throughout the facility is comfortable and lighting is sufficient for comfort. LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Mar 11, 2024